Remote Health Claims Specialist — Hospitals & Payers

Revecore; West Virginia; Remote; USD 20.000 - 28.000; Vollzeit

Zusammenfassung

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims on behalf of hospitals and medical providers. You will maximize payments from commercial insurers, Medicare, and Medicaid, and support your team with denial reports and audits.

Training lasts 8–10 business days led by instructors, with emphasis on active participation and being on camera. The role requires experience in UB04/HCFA filing, familiarity with EPIC, and strong MS Office skills.

Qualifikationen

• Experience researching and resolving claims for commercial health, Medicare, and Medicaid.
• Familiarity with UB04/HCFA filing with subrogation to payers.
• Experience billing health insurance in auto accidents is desirable.
• Ability to follow up to resolve claim status and collect information.
• Experience using EPIC and MS Office tools.

Aufgaben

• Bill and investigate health insurance claims to maximize payments for hospitals and providers.
• Research unresolved claims and follow up to facilitate payment for commercial health, Medicare, and Medicaid.
• Produce denial reports, audits, and provide support to the team.

Kenntnisse

Claims research

UB04/HCFA filing

Subrogation knowledge

Auto accidents billing

Claim follow-up

EPIC

MS Office

Multitasking

Performance under pressure

Tools

EPIC

Microsoft Office

Jobbeschreibung

Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims on behalf of hospitals and medical providers. You will maximize payments from commercial insurers, Medicare, and Medicaid, and support your team with denial reports and audits.

Training lasts 8–10 business days led by instructors, with emphasis on active participation and being on camera. The role requires experience in UB04/HCFA filing, familiarity with EPIC, and strong MS Office skills.